VEH-31080-17469 · OpenVSafe

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-05-16
Dose 1 — Pfizer-BioNTech
2021-06-05
Dose 2 — Pfizer-BioNTech
2021-12-23
Registered in v-safe
2021-12-30
Dose 3 — Pfizer-BioNTech
2021-12-30
Health check-in — day 0, dose 3, dependent
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-12-31
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Fair · Site: Pain · None

Adult check-in
2022-01-01
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · None

Adult check-in
2022-01-13
Health check-in — day 14, dose 3, dependent
Feeling: Good

Adult check-in
2022-01-20
Health check-in — day 21, dose 3, dependent
Feeling: Good

Adult check-in
2022-01-27
Health check-in — day 28, dose 3, dependent
Feeling: Good

Adult check-in
2022-02-03
Health check-in — day 35, dose 3, dependent
Feeling: Good

Adult check-in
2022-02-10
Survey response — day 42, dose 3, dependent
MedDRA: Abdominal pain upper, Emergency care, Loss of consciousness, Unevaluable event — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: I don't believe it is related to the booster shot, but (b)(6) has had several medical issues including one that landed her in the ER. She's going through a period of intense stomach pain and she blacked out recently for about one minute. · Healthcare visit (other): This survey should list doctors office visit as one of the default options.

MedDRA releases: 2024-11 · check-in free text available
2022-02-10
Report sent to call center — day 42, dose 3, dependent
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · 1 call case(s)
2022-02-14
Call 1 — Left Voicemail
2022-04-02
Health check-in — 3 months, dose 3, dependent
Feeling: Good

Adult check-in
2023-01-01
Health check-in — 12 months, dose 3, dependent
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-16	Pfizer-BioNTech	No
2	2021-06-05	Pfizer-BioNTech	No
3	2021-12-30	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 11 — day 42, dose 3, dependent

2022-02-10

Symptoms: I don't believe it is related to the booster shot, but (b)(6) has had several medical issues including one that landed her in the ER. She's going through a period of intense stomach pain and she blacked out recently for about one minute.

Healthcare visit (other): This survey should list doctors office visit as one of the default options.

redacted (b)(6)

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
HCVO	Unevaluable event	·	·	✓
SD	Abdominal pain upper	·	·	✓
SD	Emergency care	·	·	✓
SD	Loss of consciousness	·	·	✓

✓ active code · ○ coded but marked inactive · blank = not in that release